• World Neurosurg · Jan 2017

    Case Reports

    Ruptured massa intermedia secondary to hydrocephalus: a case report.

    • Ahmed El Damaty, Soenke Langner, and Henry W S Schroeder.
    • Department of Neurosurgery, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt; Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany. Electronic address: ahmed.eldamaty@uni-greifswald.de.
    • World Neurosurg. 2017 Jan 1; 97: 749.e7-749.e10.

    BackgroundWe report a case of ruptured massa intermedia (MI) as a sequela of hydrocephalus.Case DescriptionA single case report is presented describing the sequelae of tumor bed hematoma after a posterior fossa hemangioblastoma resection in which the patient bled 3 days after surgery, resulting in secondary hydrocephalus and subsequently dilatation of the third ventricle, which resulted in rupture of the MI. The patient was managed on emergency basis with an external ventricular drain then endoscopically with a third ventriculostomy and clot extraction.ConclusionsAbsent MI is not uncommon in hydrocephalic patients, and it is assumed to be the result of rupture from acute dilatation of the third ventricle. Our case report proves this assumption and documents the presence and absence of the MI before and after developing hydrocephalus.Copyright © 2016 Elsevier Inc. All rights reserved.

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